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Clinical Trials in the USA / NCT04401748
Active, not recruiting Phase 3

Study Of Venetoclax Tablet With Intravenous or Subcutaneous Azacitidine to Assess Change in Disease Activity In Adult Participants With Newly Diagnosed Higher-Risk Myelodysplastic Syndrome

NCT04401748 · tracked via the Priya Life Science USA tracker
Sponsor
AbbVie
Phase
Phase 3
Started
2020-09-10
Last updated
2026-05-06

Condition(s) studied

Myelodysplastic Syndrome (MDS)

Investigational drug(s) / intervention(s)

VenetoclaxAzacitidinePlacebo

Venetoclax: Tablet: Oral

Azacitidine: Subcutaneous (SC) or Intravenous (IV) injection

Placebo: Tablet; Oral

Study summary

Myelodysplastic Syndrome (MDS) is a group of disorders that gradually affect the ability of a person's bone marrow (semi-liquid tissue present in many bones like backbones) to produce normal blood cells. Some people with MDS have a risk of the disease progressing to acute myeloid leukemia (AML), and a risk of death from the disease itself. Symptoms of MDS include fatigue, shortness of breath, unusual paleness due to anemia (low red blood cell count), easy or unusual bruising, and red spots just beneath the skin caused by bleeding. The purpose of this study is to see how safe and effective venetoclax and azacitidine (AZA) combination are when compared to AZA and a placebo (contains no medicine), in participants with newly diagnosed higher-risk MDS.

Venetoclax is an investigational drug being developed for the treatment of MDS. The study consists of two treatment arms - In one arm, participants will receive venetoclax and AZA. In another arm, participants will receive AZA and placebo. Adult participants with newly diagnosed higher-risk MDS will be enrolled. Around 500 participants will be enrolled in approximately 220 sites worldwide.

Participants in one arm will receive oral doses of venetoclax tablet and intravenous (infusion in the vein) or subcutaneous (given under the skin) AZA solution. Participants in another arm will receive oral doses of placebo tablet and intravenous or subcutaneous AZA solution.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood and bone marrow tests, checking for side effects, and completing questionnaires.

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Inclusion Criteria: * Participants with a diagnosis of Myelodysplastic Syndrome (MDS) according to the 2016 World Health Organization (WHO) classification wtih presence of \< 20% bone marrow blasts per marrow biopsy/aspirate at screening. * Participants must meet the following disease activity criteria: * Overall Revised International Prognostic Scoring System (IPSS-R) score \> 3 (intermediate, high or very high). * Eastern Cooperative Oncology Group (ECOG) performance status of \<= 2. * Hematopoietic stem cell transplant (HSCT) eligible with no pre-arranged HSCT at the time of Study Day 1, or HSCT ineligible without plan for HSCT at the time of Study Day 1. Exclusion Criteria: * Prior therapy for MDS with any hypomethylating agent, chemotherapy, or allogenic stem cell transplantation. * Prior diagnosis of therapy-related MDS (t-MDS), MDS evolving from a pre-existing myeloproliferative neoplasm (MPN), MDS/MPN including chronic myelomonocytic leukemia (CMML), atypical chronic myeloid leukemia (aCML), juvenile myelomonocytic leukemia (JMML) and unclassifiable MDS/MPN.

Primary outcome measure(s)

Trial sites (220)

FacilityCityRegionStatus
Duplicate_Providence Medical Foundation /ID# 222633 Fullerton California
University of California, Los Angeles /ID# 221760 Los Angeles California
Torrance Memorial Physician Network Cancer Care /ID# 222702 Torrance California
PIH Health Whittier Hospital /ID# 222647 Whittier California
Rocky Mountain Cancer Centers - Boulder /ID# 223723 Boulder Colorado
Yale University School of Medicine /ID# 222764 New Haven Connecticut
Helen F. Graham Cancer Center & Research Institute /ID# 223731 Newark Delaware
Florida Cancer Specialists - Fort Myers /ID# 221319 Fort Myers Florida
Memorial Healthcare System /ID# 222703 Hollywood Florida
Florida Cancer Specialists - North /ID# 221318 St. Petersburg Florida
Florida Cancer Specialists - Panhandle /ID# 221315 Tallahassee Florida
Florida Cancer Specialists - East /ID# 221317 West Palm Beach Florida
St. Luke's Mountain State Tumor Institute /ID# 220838 Boise Idaho
Northwestern University Feinberg School of Medicine /ID# 220843 Chicago Illinois
Duplicate_Rush University Medical Center /ID# 221007 Chicago Illinois
Ingalls Memorial Hosp /ID# 220844 Harvey Illinois
Illinois Cancer Care, PC /ID# 220840 Peoria Illinois
Duplicate_Parkview Cancer Institute /ID# 223620 Fort Wayne Indiana
Cancer Center of Kansas /ID# 222648 Wichita Kansas
Hematology/Oncology Clinic /ID# 224257 Baton Rouge Louisiana
Pontchartrain Cancer Center - Covington /ID# 221005 Covington Louisiana
Maryland Oncology Hematology /ID# 223776 Columbia Maryland
Massachusetts General Hospital /ID# 225068 Boston Massachusetts
Beth Israel Deaconess Medical Center /ID# 225069 Boston Massachusetts
Dana-Farber Cancer Institute /ID# 219162 Boston Massachusetts
VA Ann Arbor Healthcare System /ID# 221365 Ann Arbor Michigan
Cancer & Hematology Centers /ID# 220848 Grand Rapids Michigan
Metro Minnesota Community Oncology Research Consortium (MMCORC) /ID# 221321 Saint Louis Park Minnesota
MidAmerica Division, Inc. /ID# 221895 Kansas City Missouri
Comprehensive Cancer Centers of Nevada - Horizon Ridge /ID# 222635 Henderson Nevada
Titan Health Partners LLC, d/b/a Astera Cancer Care /ID# 221003 East Brunswick New Jersey
The Valley Hospital /ID# 232337 Paramus New Jersey
New York Oncology Hematology - Albany Cancer Center /ID# 223778 Albany New York
University at Buffalo /ID# 221206 Buffalo New York
Weill Cornell Medical College /ID# 222898 New York New York
Stony Brook University Hospital /ID# 224450 Stony Brook New York
Novant Health Presbyterian Medical Center /ID# 222561 Charlotte North Carolina
Novant Health Forsyth Medical Center /ID# 221004 Winston-Salem North Carolina
Oncology Hematology Care, Inc. /ID# 223724 Cincinnati Ohio
Bend Memorial Clinic /ID# 220999 Bend Oregon

+ 180 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04401748 on ClinicalTrials.gov ↗ ← All trials in the USA